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Minerva Urologica e Nefrologica 2000 December;52(4):183-7

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: Italian

Ureteral intestinal anastomosis using the ureteral nipple technique with personal modification in urinary diversion

Marino G., Cevoli R., Laudi M.

Ordine Mauriziano Umberto I - Torino Unità Operativa di Urologia (Direttore: Dott. M. Laudi)


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Background: This report presents the follow-up data for the incidence of stenosis and reflux in 143 split cuff nipple ureteral intestinal anastomoses in continent urinary diversions.
Methods: 74 ureteal implants (1990-1995) were performed using the original technique, whereas a technical modification was adopted after 1996. This was used in 69 implants and consisted of the removal of a button of bowel tract in order to obtain a linear implant to the reservoir, instead of using a simple enterotomy at the level of the anastomosis.
Results: The rate of clinically significant refluxes was 2.2%, whereas the incidence of stenosis fell from 6.8% in the group using the original technique to 2.9% in those using the modified technique.
Conclusions: Anastomosis using the split cuff ureteral nipple technique is simple to perform and is indicated in peristaltic and non-dilatated ureters. Moreover, this technical modification improves the overall results.

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